Page 38 of Best Assisted Living in North Carolina

Why trust this guide? Our editorial team analyzed 389 assisted living communities in NC using NC Dept. of Health & Human Services (NCDHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NC
Reviewed by
Last updated
Aug 2026
We analyzed These are the facilities in North Carolina our team has analyzed — not a count of every assisted living provider in North Carolina.
389 homes
Other senior care options in North Carolina:
Avg Monthly Cost: $6,747The average monthly cost across facilities in North Carolina. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 36/ 100The average Walk Score across facilities in North Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 72The average licensed bed capacity across facilities in North Carolina. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around North Carolina

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in citations, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Willow Valley Center for Nursing and Rehabilitation
AL
HOS
MC
NH
RC
SNF
Winston-Salem (West Highlands)
230
Facility 230
NC AVG 72
Rank #1 / 387
No
62
Facility 62
NC AVG 36
Rank #58 / 536
94.6% ----
Eastover Gardens
AL
Eastover (Cape Fear)
-No
6
Facility 6
NC AVG 36
Rank #484 / 536
-----
Coastal Cove of Wilmington
AL
Wilmington (Eagles Nest)
-No
4
Facility 4
NC AVG 36
Rank #506 / 536
-----
The Residences at The Davis Community
AL
IL
MC
NH
RC
SNF
Wilmington
-No
3
Facility 3
NC AVG 36
Rank #515 / 536
-----
Wickshire Creeks Crossing
AL
MC
Raeford
-Yes-----Studio / Suite
Mill Creek Center for Nursing & Rehabilitation
AL
HOS
MC
NH
RC
SNF
Winston-Salem (Oldtown)
66
Facility 66
NC AVG 72
Rank #198 / 387
No
24
Facility 24
NC AVG 36
Rank #349 / 536
92.9% ----
PruittPlace – Winston Salem
AL
MC
Winston-Salem (Oak Crest)
-Yes
24
Facility 24
NC AVG 36
Rank #349 / 536
----Studio / 1 Bed
Caswell House
AL
MC
RC
Yanceyville
100
Facility 100
NC AVG 72
Rank #77 / 387
No- 46.0%
0.00/200
Facility 0.00/200
NC AVG 92.2
Rank #305 / 321
42
86%
Facility 86%
NC AVG 76.2%
Rank #255 / 333
-
Flesher’s Fairview Rest Home
AL
NH
SNF
Fairview
64
Facility 64
NC AVG 72
Rank #213 / 387
No
19
Facility 19
NC AVG 36
Rank #384 / 536
35.9%
101.00/200
Facility 101.00/200
NC AVG 92.2
Rank #123 / 321
19
79%
Facility 79%
NC AVG 76.2%
Rank #164 / 333
-
Miss Bell’s at Durham
AL
MC
Durham (Chelsea Meadows)
-No
15
Facility 15
NC AVG 36
Rank #414 / 536
----Private / Semi-Private Rooms

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 389 on this page.

Rows per page:
View all Nearby Homes
Overview of Willow Valley Center for Nursing and Rehabilitation

Willow Valley Center is Winston-Salem’s premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Willow Valley is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Willow Valley Center for Nursing and Rehabilitation

Overview of Eastover Gardens

Eastover Gardens is a residential assisted living and memory care home in Fayetteville. Trusted as a home where seniors are treated like family, management ensures that residents receive tailored care uniquely designed for their needs. Eastover Gardens is a vibrant community where seniors can find a sense of belonging and grow as individuals when they find inspiration in everyday living.
The premier community has boasted an elevated lifestyle through the high quality service they have provided for assisted and memory care living. Community features include lounge areas, an activity room, a private dining room, recreational rooms, housekeeping, and 24/7 care and supervision.

Contact Eastover Gardens

Overview of Coastal Cove of Wilmington

Bringing a warm, inviting approach to assisted living in Wilmington, North Carolina, is Coastal Cove of Wilmington. Nestled in the peaceful Eagles Nest neighborhood, the community’s car-dependent area bears a Walk Score of 4. Most errands demand a car, but occupants can enjoy a laid-back retirement setting.

Coastal Cove of Wilmington offers studio and one-bedroom floor plans and provides assistance with daily living activities. They’re tailored through personalized care plans. Housekeeping services, well-balanced meals, and laundry services bolster residents’ comfort and independence. Light exercises, social events, and various games promote social interaction and engagement. Meanwhile, spacious rooms and cozy gathering areas give occupants comfortable spaces to rest and socialize.

Coastal Cove of Wilmington is welcoming to seniors needing a supportive assisted living option in a residential area. The community can be reached directly for those wanting to learn more.

Contact Coastal Cove of Wilmington

Overview of The Residences at the Davis Community

Offering independent living within a full continuum of care, The Residences at the Davis Community is a senior living community in Wilmington, North Carolina. The larger campus provides services ranging from independent living to skilled nursing, allowing residents to move between care levels as their needs change. The Residences includes 11 apartment-style homes and 2 cottage-style homes for residents who want private living with nearby support.

Residents can choose one-bedroom or two-bedroom residences. Each home includes a living room, modern kitchen, dining area, and a walk-in dressing room connected to a private bathroom. Home repairs and housekeeping are included, allowing residents to spend less time on household upkeep. A 24-hour security and emergency response system provides added peace of mind. Property taxes and utilities are also included in the monthly rent to make budgeting more predictable.

The community is located in the Porters Neck Road area of Wilmington, about 8.8 miles from the city center. The car-dependent area has a Walk Score of 3 out of 100. Residents and visiting family should drive for most errands and outings. That tradeoff may be worthwhile for those who prefer a quieter suburban setting over a walkable downtown neighborhood.

Families looking for an independent living option should ask how the campus-wide continuum of care works. Having independent living through skilled nursing on one campus can make it easier for residents to transition to a different level of care without relocating.

Contact The Residences at The Davis Community

Overview of Wickshire Creeks Crossing

Wickshire Creeks creates a cozy and welcoming atmosphere for its residents. An assisted living and memory care home for seniors, management ensures you get a hassle-free and seamless transfer to your new place. Wickshire Creeks Crossing is an upscale community that enriches, encourages, and empowers the overall wellness of its residents.

Their list of community features is thoughtfully designed to ensure residential experiences and services received are successful and fulfilling. Services and amenities include 24-hour care staff, concierge services, a full-service salon, an elegant dining room, a library, and lounge areas. 

Contact Wickshire Creeks Crossing

Overview of Mill Creek Center for Nursing & Rehabilitation

The sister home of Willow Valley Center, Mill Creek, is also the premier health and rehabilitation center. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Mill Creek is known for its world-class hospitality balanced with small-town charm.

The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term and short-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Mill Creek Center for Nursing & Rehabilitation

Overview of PruittPlace – Winston Salem

PruittPlace – Winston Salem is an assisted living community in Winston-Salem, NC, offering personal care and memory care. Prioritizing older adults’ comfort and well-being, the community maintains a warm, home-like environment. 24-hour assistance, round-the-clock maintenance, restaurant-style dining, housekeeping, and laundry, as well as on-site professional nurses, are provided to improve residents’ living experiences. With personalized care plans, the community provides the best possible care tailored to residents’ unique needs and habits.

Arts and crafts, board games, and active games foster socialization and help improve residents’ cognition. For residents’ leisure and wellness, a beauty salon/ barber shop, an activity area, a theater, and an exercise room are just some of the available on-site amenities. With public transportation nearby, the community is easily accessible. This assisted living community is a great choice for senior living in North Carolina, as it has dedicated services.

Contact PruittPlace – Winston Salem

Caswell House

535 Us Highway 158 West Yanceyville, Nc 27379, Yanceyville, NC 27379
Overview of Caswell House

Caswell House sits on US Highway 158 West in Yanceyville, in rural Caswell County, North Carolina. It’s a 100-bed community offering assisted living, memory care, and respite care. The area is car-dependent; with a Walk Score of 0, walking to run an errand isn’t realistic here. Just under half the building is occupied, 46 of 100 beds, a figure worth sitting with given what the inspection record shows.

Nursing services and 24-hour staffing back the community’s day-to-day care. Respite stays are available too, useful for families who need a short-term bridge rather than a permanent move. Dining runs restaurant-style, and residents have housekeeping, transportation services, and an outdoor common area available to them.

The inspection record here is not a story of scattered, minor paperwork issues. Medication management, fire-safety systems, staffing and staff credentials, and dietary and food service come up again and again as areas regulators have needed to revisit, and repeated attention to safety-critical systems like these carries more weight than a single flagged category would. Caswell House accepts Medicaid, relevant for families planning around long-term cost.

Low occupancy paired with that pattern of recurring safety findings makes this a community where a family’s own current, on-site verification matters more than usual. It may fit someone who needs assisted living, memory care, or respite support and depends on Medicaid coverage in this part of North Carolina.

Contact Caswell House

Flesher’s Fairview Rest Home

3016 Cane Creek Road Fairview, Nc 28730, Fairview, NC 28730
Overview of Flesher’s Fairview Rest Home

Fairview, North Carolina is located about 12 miles southeast of Asheville, and Flesher’s Fairview Rest Home has been open there since 1964. This 64-bed home for seniors is in a part of the county where people must use cars to get around, as most errands require driving instead of walking. Mission Hospital in Asheville is the nearest large hospital if the people living there ever need serious medical help.

At the home, people can get help with exercises to get stronger and see a doctor who works there, along with special nursing and healing programs. The total time nurses spend with each person is a little less than four hours every day, which is divided among different types of trained nursing staff. A health program is the main part of the daily schedule, and the building provides rides, cleaning, and laundry for the people who live there.

Flesher’s takes government health insurance and private money, which gives families many choices for how they want to pay for their time at the home. Right now, only 23 of the 64 beds are being used, which means the building is 36 percent full. When state workers check the building, they often look at fire safety, how clean the environment is, how well people’s rights are protected, and how to stop people from falling or getting hurt.

Because of the nursing time, the exercise programs, and the nearby hospital, this place is designed for medical help and getting better rather than living on your own. Being in the same small community for sixty years means the home has many memories, which come from helping many members of the same families over a very long time.

Contact Flesher’s Fairview Rest Home

Miss Bell’s at Durham

1005 Bellenden Dr, Durham, NC 27713
Overview of Miss Bell’s at Durham

Miss Bell’s at Durham is a vibrant community in Durham, NC, offering assisted living and memory care. With one caregiver assigned to every three residents, the community provides top-notch care tailored to their daily living activities and personal needs around the clock. Residents are also guaranteed the utmost comfort with specially designed and secure living spaces.

A thoughtfully planned calendar of stimulating activities and enriching programs is conducted to improve residents’ living experience and cognition. Delightful and well-balanced meals are provided, ensuring residents have a hassle-free dining experience that satisfy their nutritional needs and preferences. With its dedicated services and state-of-the-art amenities, residents have a blissful retirement amidst the community’s scenic landscapes and welcoming setting.

Contact Miss Bell’s at Durham

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Assisted Living in North Carolina

What's the difference between assisted living and memory care in North Carolina?

Assisted living in North Carolina supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in North Carolina?

Assisted living in North Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does North Carolina Medicaid cover assisted living?

North Carolina Medicaid does not directly pay room-and-board for assisted living, but most states (including North Carolina) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 389 assisted living facilities in North Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in North Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in North Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in North Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.